How should the nurse initially approach marta, Other Subject

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How should the nurse initially approach marta

Problem

Marta is a 17-year-old female who presents with a 1-month history of depression. She has been sent from school after expressing thoughts of harming herself to a teacher.

Subjective Data

1) Decreased appetite for 1 month
2) Complains of trouble sleeping for several months
3) Expresses suicidal thoughts with a plan to harm herself

Objective Data

1) Weight: 70 kg
2) Vital Signs: T 37 ^oC, P 68, R 26, BP 104/66
3) Drug screen: negative
4) ETOH level: 0

Task

• What is the first priority for Marta?

• How should the nurse initially approach Marta?

• What should the nurse do in this situation? Prioritize actions.

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